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What to do if Aetna wont cover Zepbound If Zepbound isnt on the drug formulary or Aetna denies the request for a medical exception, read on for tips on what else you can do

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Medical assessment Your healthcare team will evaluate your: Current Wegovy dose and response Overall health status Previous side effects Weight loss progress 2

Most Aetna plans require prior authorization, which means we must justify why Trulicity is medically necessary. Under Aetnas coverage criteria, you must have a diagnosis of Type 2 diabetes and may not have received a maintenance dose of any other GLP-1 receptor agonist (such as Ozempic or Victoza) for at least three months in order to be approved for a Trulicity prescription